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患者的大脑两半球间信息传递时间:一项听觉事件相关电位研究。

Interhemispheric transfer time in patients with auditory hallucinations: an auditory event-related potential study.

机构信息

The Department of Otolaryngology, University of Melbourne, Australia.

出版信息

Int J Psychophysiol. 2012 May;84(2):130-9. doi: 10.1016/j.ijpsycho.2012.01.020. Epub 2012 Feb 15.

Abstract

Central auditory processing in schizophrenia patients with a history of auditory hallucinations has been reported to be impaired, and abnormalities of interhemispheric transfer have been implicated in these patients. This study examined interhemispheric functional connectivity between auditory cortical regions, using temporal information obtained from latency measures of the auditory N1 evoked potential. Interhemispheric Transfer Times (IHTTs) were compared across 3 subject groups: schizophrenia patients who had experienced auditory hallucinations, schizophrenia patients without a history of auditory hallucinations, and normal controls. Pure tones and single-syllable words were presented monaurally to each ear, while EEG was recorded continuously. IHTT was calculated for each stimulus type by comparing the latencies of the auditory N1 evoked potential recorded contralaterally and ipsilaterally to the ear of stimulation. The IHTTs for pure tones did not differ between groups. For word stimuli, the IHTT was significantly different across the 3 groups: the IHTT was close to zero in normal controls, was highest in the AH group, and was negative (shorter latencies ipsilaterally) in the nonAH group. Differences in IHTTs may be attributed to transcallosal dysfunction in the AH group, but altered or reversed cerebral lateralization in nonAH participants is also possible.

摘要

有幻听史的精神分裂症患者的中枢听觉处理能力被报道受损,这些患者的大脑半球间的转移异常与这一现象有关。本研究通过听觉 N1 诱发电位潜伏期的时间信息,检测了听觉皮质区之间的大脑半球间功能连接。在 3 组被试者中比较了跨大脑半球的转移时间(IHTT):有幻听史的精神分裂症患者、无幻听史的精神分裂症患者和正常对照组。纯音和单音节单词分别被单耳呈现,同时连续记录脑电图。通过比较同侧和对侧刺激耳记录的听觉 N1 诱发电位的潜伏期,计算出每种刺激类型的 IHTT。各组之间的纯音 IHTT 没有差异。对于单词刺激,3 组之间的 IHTT 存在显著差异:正常对照组的 IHTT 接近零,有幻听史的患者组的 IHTT 最高,无幻听史的患者组的 IHTT 为负(同侧潜伏期更短)。IHTT 的差异可能归因于有幻听史患者组的胼胝体功能障碍,但也有可能是无幻听史患者组的大脑侧化发生改变或逆转。

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